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Maryland rates for HCPCS 72157

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $128.82 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $223.87 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $354.81 / $1,000.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $645.65
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $151.36 / $169.82
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $295.12 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $562.34 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $138.04 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $380.19 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $120.23 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $263.03 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $120.23 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $363.08 / $812.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $524.81
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $125.89 / $165.96
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $263.03 / $363.08